AAPCC

Adjusted Average Per Capita Cost (Medicare HMO payment)

ACHE

American College of Healthcare Executives

AHA

American Hospital Association

AHCPR

Agency for Health Care Policy and Research

AHP

accountable health plan

ALOS

average length of stay

AMA

American Medical Association

ANA

American Nurses Association

AONE

American Organization of Nurse Executives

ASO

administrative services only

BHP

Basic Health Plan

CAH

Critical Access Hospital

CHARS

Comprehensive Hospital Abstract Reporting System

CLIA’88

Clinical Laboratory Improvement Amendment of 1988

CCN

community care network

CDC

Center for Disease Control

CHAMPUS

Civilian and Health Medical Program of the Uniformed Services

COBRA

Consolidated Omnibus Budget Reconciliation Act

CON

Certificate of Need

CPI

consumer price index

CQI

continuous quality improvement

DME

durable medical equipment

DO

doctor of osteopathy

DRG

diagnosis related group

DOH

Department of Health (state)

DSH

Disproportionate Share Hospital Payment

DSHS

Department of Social and Health Services (state)

ECF

extended care facility

EMS

emergency medical services

EPO

exclusive provider organization

ERISA

Employee Retirement Income Security Act-1994

FAHS

Federation of American Healthcare Systems

FFS

fee for service

FI

fiscal intermediary

FTE

full-time equivalent

GME

graduate medical education

HCA

Health Care Authority (state)

HCFA

Health Care Financing Administration (federal)

HFMA

Healthcare Financial Management Association

HEDIS

health plan employer data and information set

HHS

Health and Human Services (federal)

HIAA

Health Insurance Association of America

HMBI

hospital market basket index

HMO

health maintenance organization

HRET

Hospital Research and Education Trust

HSSA

Hospital Shared Services Association

ICD 9 CM

International Classification of Diseases, Clinical Modification

ICF

Intermediate Care Facility

IDS

integrated delivery system

IPA

independent practice association

JCAHO

Joint Commission on Accreditation of Healthcare Organizations

LOS

length of stay

LTC

long-term care

MAA

Medical Assistance Administration (state)

MSO

management service organization

NCQA

National Committee on Quality Assurance

NWRHA

Northwest Rural Health Association

OCRH

Office of Community and Rural Health (DOH)

OIC

Office of the Insurance Commissioner (state)

OSHA

Occupational Safety and Health Administration (federal)

PCCM

primary care case management

PCP

primary care physician

PDS

patient data system

PHA

Pacific Health Association

PHD

public hospital district

PHIP

Public Health Improvement Plan (state)

PHS

Public Health Service (federal)

PHO

physician hospital organization

POS

point of service plans

PPO

preferred provider organization

PPS

prospective payment system

PRO

peer review organization

RAC

Rural Access Nonprofit Corporation

RBRVS

resource-based relative value scale

RCW

Revised Code of Washington

RHAP

Rural Hospital Assistance Program

SNF

skilled nursing facility

SSI

social security income

TPA

third-party administrator

TQM

total quality management

UR

utilization review

WAC

Washington Administrative Code

WHF

Washington Health Foundation

WHS

Washington Hospital Services

WSHA

Washington State Hospital Association

WSPHA

Washington State Public Health Association

VHA

Voluntary Hospitals of America